Yelizaveta Luchkovska Heron, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104020 Issued in CA

Practice address

1215 Mission Rd
South San Francisco, CA 94080-1397

Phone

(650) 871-5437

NPI assigned

Apr 29, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Yelizaveta Luchkovska Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: liza.heron.p1@direct.wcchc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mina Levi, DDS, Inc

  • Dental Clinic/Center
  • San Francisco, CA
  • NPI 1811492176
  NPD (past)
• Tse Dental Corporation

  • Pediatric Dentistry
  • South San Francisco, CA
  • NPI 1225465560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1780172379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 MISSION RD",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801397",
            "telephone_number": "831-325-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 MISSION RD",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801397",
            "telephone_number": "650-871-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERON",
        "first_name": "YELIZAVETA",
        "middle_name": "LUCHKOVSKA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-29",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELIZAVETA",
            "last_name": "LUCHKOVSKA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alysia Dawn Henderson, MS
• Karla Henriquez
• Julian Hermosillo, DPT
• Rodolfo Hernandez Morales
• Jaime Hernandez, CAADE
• Eleanor Louise Hertzler, LCSW
• Leean Margaret Hervey, DPT
• Alesha Denise Hicks, MS, GCG
• Elaine Hicks
• Diane Higashi, NP

• General Practice Dentistry in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.